<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="TRE-R39-Competence"/>
  <meta>
    <versionId value="6"/>
    <lastUpdated value="2025-07-02T18:18:03.827+00:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Narratif généré : CodeSystem TRE-R39-Competence</b></p><a name="TRE-R39-Competence"> </a><a name="hcTRE-R39-Competence"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 5; Dernière mise à jour : 2024-08-28 05:13:50+0000</p><p style="margin-bottom: 0px">Profil: <a href="http://hl7.org/fhir/R4/shareablecodesystem.html">Shareable CodeSystem</a></p></div><p><b>Propriétés</b></p><p><b>Cette terminologie de référence (CodeSystem) définit les propriétés suivantes pour ses concepts</b></p><table class="grid"><tr><td><b>Nom</b></td><td><b>Code</b></td><td><b>Type</b></td><td><b>Description</b></td></tr><tr><td>dateValid</td><td>dateValid</td><td>dateTime</td><td>date de validité d'un code concept</td></tr><tr><td>dateMaj</td><td>dateMaj</td><td>dateTime</td><td>Date de mise à jour d'un code concept</td></tr><tr><td>dateFin</td><td>dateFin</td><td>dateTime</td><td>Date de fin d'exploitation d'un code concept</td></tr></table><p><b>Concepts</b></p><p>This case-insensitive code system <code>https://mos.esante.gouv.fr/NOS/TRE_R39-Competence/FHIR/TRE-R39-Competence</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>dateValid</b></td><td><b>dateMaj</b></td><td><b>French (France) (fr)</b></td></tr><tr><td style="white-space:nowrap">C01<a name="TRE-R39-Competence-C01"> </a></td><td>Anatomie et Cytologie pathologiques humaines (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Anatomie, Cyto patho</td></tr><tr><td style="white-space:nowrap">C03<a name="TRE-R39-Competence-C03"> </a></td><td>Anesthésie-réanimation (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Anesthésie-réanim</td></tr><tr><td style="white-space:nowrap">C05<a name="TRE-R39-Competence-C05"> </a></td><td>Médecine appliquée aux sports (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Méd appliquée sports</td></tr><tr><td style="white-space:nowrap">C07<a name="TRE-R39-Competence-C07"> </a></td><td>Cardiologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Cardiologie</td></tr><tr><td style="white-space:nowrap">C09<a name="TRE-R39-Competence-C09"> </a></td><td>Chirurgie plastique, reconstructrice et esthétique (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td>Chir plast reco esth</td></tr><tr><td style="white-space:nowrap">C10<a name="TRE-R39-Competence-C10"> </a></td><td>Chirurgie maxillo-faciale (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2024-06-28T12:00:00+01:00</td><td>Chirurgie maxillo-faciale</td></tr><tr><td style="white-space:nowrap">C11<a name="TRE-R39-Competence-C11"> </a></td><td>Chirurgie thoracique (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Chirurgie thoracique</td></tr><tr><td style="white-space:nowrap">C12<a name="TRE-R39-Competence-C12"> </a></td><td>Chirurgie orthopédique (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td>Chirurgie orthopédique</td></tr><tr><td style="white-space:nowrap">C13<a name="TRE-R39-Competence-C13"> </a></td><td>Urologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Urologie</td></tr><tr><td style="white-space:nowrap">C15<a name="TRE-R39-Competence-C15"> </a></td><td>Dermato-vénéréologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Dermato-vénéréologie</td></tr><tr><td style="white-space:nowrap">C20<a name="TRE-R39-Competence-C20"> </a></td><td>Hémobiologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Hémobiologie</td></tr><tr><td style="white-space:nowrap">C23<a name="TRE-R39-Competence-C23"> </a></td><td>Gynécologie médicale et Obstétrique (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td>Gynéco-médicale, Obstétrique</td></tr><tr><td style="white-space:nowrap">C25<a name="TRE-R39-Competence-C25"> </a></td><td>Gynécologie médicale (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Gynécologie médicale</td></tr><tr><td style="white-space:nowrap">C27<a name="TRE-R39-Competence-C27"> </a></td><td>Obstétrique (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Obstétrique</td></tr><tr><td style="white-space:nowrap">C29<a name="TRE-R39-Competence-C29"> </a></td><td>Maladies de l'appareil digestif (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td>Maladies appareil digestif</td></tr><tr><td style="white-space:nowrap">C30<a name="TRE-R39-Competence-C30"> </a></td><td>Néphrologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Néphrologie</td></tr><tr><td style="white-space:nowrap">C31<a name="TRE-R39-Competence-C31"> </a></td><td>Médecine exotique (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Médecine exotique</td></tr><tr><td style="white-space:nowrap">C33<a name="TRE-R39-Competence-C33"> </a></td><td>Allergologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Allergologie</td></tr><tr><td style="white-space:nowrap">C34<a name="TRE-R39-Competence-C34"> </a></td><td>Angéiologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Angéiologie</td></tr><tr><td style="white-space:nowrap">C35<a name="TRE-R39-Competence-C35"> </a></td><td>Cancérologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Cancérologie</td></tr><tr><td style="white-space:nowrap">C36<a name="TRE-R39-Competence-C36"> </a></td><td>Diabétologie-nutrition (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Diabéto-nutrition</td></tr><tr><td style="white-space:nowrap">C37<a name="TRE-R39-Competence-C37"> </a></td><td>Endocrinologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Endocrinologie</td></tr><tr><td style="white-space:nowrap">C38<a name="TRE-R39-Competence-C38"> </a></td><td>Maladies du sang (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Maladies du sang</td></tr><tr><td style="white-space:nowrap">C39<a name="TRE-R39-Competence-C39"> </a></td><td>Réanimation (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Réanimation</td></tr><tr><td style="white-space:nowrap">C40<a name="TRE-R39-Competence-C40"> </a></td><td>Médecine légale (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Médecine légale</td></tr><tr><td style="white-space:nowrap">C41<a name="TRE-R39-Competence-C41"> </a></td><td>Médecine du travail (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Médecine du travail</td></tr><tr><td style="white-space:nowrap">C43<a name="TRE-R39-Competence-C43"> </a></td><td>Neurologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Neurologie</td></tr><tr><td style="white-space:nowrap">C45<a name="TRE-R39-Competence-C45"> </a></td><td>Neuro-chirurgie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Neuro-chirurgie</td></tr><tr><td style="white-space:nowrap">C47<a name="TRE-R39-Competence-C47"> </a></td><td>Neuro-psychiatrie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Neuro-psychiatrie</td></tr><tr><td style="white-space:nowrap">C51<a name="TRE-R39-Competence-C51"> </a></td><td>Pédiatrie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Pédiatrie</td></tr><tr><td style="white-space:nowrap">C52<a name="TRE-R39-Competence-C52"> </a></td><td>Phoniatrie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Phoniatrie</td></tr><tr><td style="white-space:nowrap">C54<a name="TRE-R39-Competence-C54"> </a></td><td>Pneumologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Pneumologie</td></tr><tr><td style="white-space:nowrap">C57<a name="TRE-R39-Competence-C57"> </a></td><td>Psychiatrie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Psychiatrie</td></tr><tr><td style="white-space:nowrap">C58<a name="TRE-R39-Competence-C58"> </a></td><td>Psychiatrie, option enfant et adolescent (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td>Psychiatrie, opt enfant et ado</td></tr><tr><td style="white-space:nowrap">C60<a name="TRE-R39-Competence-C60"> </a></td><td>Médecine physique et de réadaptation (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td>Médecine physique, réadapt</td></tr><tr><td style="white-space:nowrap">C62<a name="TRE-R39-Competence-C62"> </a></td><td>Rhumatologie (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Rhumatologie</td></tr><tr><td style="white-space:nowrap">C68<a name="TRE-R39-Competence-C68"> </a></td><td>Chirurgie pédiatrique (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td>Chirurgie pédiatrique</td></tr><tr><td style="white-space:nowrap">C69<a name="TRE-R39-Competence-C69"> </a></td><td>Médecine nucléaire (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Médecine nucléaire</td></tr><tr><td style="white-space:nowrap">C71<a name="TRE-R39-Competence-C71"> </a></td><td>Médecine thermale (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Médecine thermale</td></tr><tr><td style="white-space:nowrap">C72<a name="TRE-R39-Competence-C72"> </a></td><td>Génétique médicale (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2008-02-28T00:00:00+01:00</td><td>Génétique médicale</td></tr><tr><td style="white-space:nowrap">C75<a name="TRE-R39-Competence-C75"> </a></td><td>Endocrinologie et Maladies métaboliques (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td>Endocrin, Maladies métaboliq</td></tr><tr><td style="white-space:nowrap">C76<a name="TRE-R39-Competence-C76"> </a></td><td>Orthopédie dento-maxillo-faciale (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td>Orthopédie dento-maxilo-fac</td></tr><tr><td style="white-space:nowrap">C83<a name="TRE-R39-Competence-C83"> </a></td><td>Chirurgie de la face et du cou (C)</td><td>2007-07-26T16:49:16+01:00</td><td>2016-09-01T00:00:00+01:00</td><td>Chirurgie face et cou</td></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
    <valuePeriod>
      <start value="2015-12-28T00:00:00+01:00"/>
    </valuePeriod>
  </extension>
  <url value="https://mos.esante.gouv.fr/NOS/TRE_R39-Competence/FHIR/TRE-R39-Competence"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.2.250.1.213.2.29"/>
  </identifier>
  <version value="20240628120000"/>
  <name value="TRE_R39_Competence"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-06-28T12:00:00+01:00"/>
  <publisher value="Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris"/>
  <description value="Compétence"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="FR"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="false"/>
  <content value="complete"/>
  <property>
    <code value="dateValid"/>
    <description value="date de validité d'un code concept"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="dateMaj"/>
    <description value="Date de mise à jour d'un code concept"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="dateFin"/>
    <description value="Date de fin d'exploitation d'un code concept"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="deprecationDate"/>
    <uri value="http://hl7.org/fhir/concept-properties#deprecationDate"/>
    <description value="Date Concept was deprecated"/>
    <type value="dateTime"/>
  </property>
  <property>
    <code value="status"/>
    <uri value="http://hl7.org/fhir/concept-properties#status"/>
    <description value="A property that indicates the status of the concept."/>
    <type value="code"/>
  </property>
  <property>
    <code value="retirementDate"/>
    <uri value="http://hl7.org/fhir/concept-properties#retirementDate"/>
    <description value="Date Concept was retired"/>
    <type value="dateTime"/>
  </property>
  <concept>
    <code value="C01"/>
    <display value="Anatomie et Cytologie pathologiques humaines (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Anatomie, Cyto patho"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C03"/>
    <display value="Anesthésie-réanimation (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Anesthésie-réanim"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C05"/>
    <display value="Médecine appliquée aux sports (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Méd appliquée sports"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C07"/>
    <display value="Cardiologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Cardiologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C09"/>
    <display value="Chirurgie plastique, reconstructrice et esthétique (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chir plast reco esth"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C10"/>
    <display value="Chirurgie maxillo-faciale (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie maxillo-faciale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2024-06-28T12:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C11"/>
    <display value="Chirurgie thoracique (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie thoracique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C12"/>
    <display value="Chirurgie orthopédique (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie orthopédique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C13"/>
    <display value="Urologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Urologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C15"/>
    <display value="Dermato-vénéréologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Dermato-vénéréologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C20"/>
    <display value="Hémobiologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Hémobiologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C23"/>
    <display value="Gynécologie médicale et Obstétrique (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Gynéco-médicale, Obstétrique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C25"/>
    <display value="Gynécologie médicale (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Gynécologie médicale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C27"/>
    <display value="Obstétrique (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Obstétrique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C29"/>
    <display value="Maladies de l'appareil digestif (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Maladies appareil digestif"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C30"/>
    <display value="Néphrologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Néphrologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C31"/>
    <display value="Médecine exotique (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine exotique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C33"/>
    <display value="Allergologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Allergologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C34"/>
    <display value="Angéiologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Angéiologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C35"/>
    <display value="Cancérologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Cancérologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C36"/>
    <display value="Diabétologie-nutrition (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Diabéto-nutrition"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C37"/>
    <display value="Endocrinologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Endocrinologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C38"/>
    <display value="Maladies du sang (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Maladies du sang"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C39"/>
    <display value="Réanimation (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Réanimation"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C40"/>
    <display value="Médecine légale (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine légale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C41"/>
    <display value="Médecine du travail (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine du travail"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C43"/>
    <display value="Neurologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Neurologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C45"/>
    <display value="Neuro-chirurgie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Neuro-chirurgie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C47"/>
    <display value="Neuro-psychiatrie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Neuro-psychiatrie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C51"/>
    <display value="Pédiatrie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Pédiatrie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C52"/>
    <display value="Phoniatrie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Phoniatrie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C54"/>
    <display value="Pneumologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Pneumologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C57"/>
    <display value="Psychiatrie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Psychiatrie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C58"/>
    <display value="Psychiatrie, option enfant et adolescent (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Psychiatrie, opt enfant et ado"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C60"/>
    <display value="Médecine physique et de réadaptation (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine physique, réadapt"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C62"/>
    <display value="Rhumatologie (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Rhumatologie"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C68"/>
    <display value="Chirurgie pédiatrique (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie pédiatrique"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C69"/>
    <display value="Médecine nucléaire (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine nucléaire"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C71"/>
    <display value="Médecine thermale (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Médecine thermale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C72"/>
    <display value="Génétique médicale (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Génétique médicale"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2008-02-28T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C75"/>
    <display value="Endocrinologie et Maladies métaboliques (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Endocrin, Maladies métaboliq"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C76"/>
    <display value="Orthopédie dento-maxillo-faciale (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Orthopédie dento-maxilo-fac"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
  <concept>
    <code value="C83"/>
    <display value="Chirurgie de la face et du cou (C)"/>
    <designation>
      <language value="fr-FR"/>
      <use>
        <system value="http://snomed.info/sct"/>
        <code value="900000000000013009"/>
      </use>
      <value value="Chirurgie face et cou"/>
    </designation>
    <property>
      <code value="dateValid"/>
      <valueDateTime value="2007-07-26T16:49:16+01:00"/>
    </property>
    <property>
      <code value="dateMaj"/>
      <valueDateTime value="2016-09-01T00:00:00+01:00"/>
    </property>
    <property>
      <code value="status"/>
      <valueCode value="active"/>
    </property>
  </concept>
</CodeSystem>